Implementation of the dynamic appraisal of situational aggression in inpatient mental health.

Publisher: Nursing Publications] Country of Publication: United States NLM ID: 0401133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-6163 (Electronic) Linking ISSN: 00315990 NLM ISO Abbreviation: Perspect Psychiatr Care

Original Publication: [Hillsdale, N. J., Nursing Publications]

Inpatients*/psychology ; Mental Disorders*; Adult ; Aggression/psychology ; Humans ; Mental Health ; Risk Assessment ; Violence/psychology

Purpose: To implement structured violence risk assessment (VRA) using the Dynamic Appraisal of Situational Aggression (DASA) on a 25-bed, adult, inpatient psychiatric unit.
Design and Methods: Inpatient DASA screening for 13 weeks with nursing communication orders (NCOs) to highlight patients at high risk for violence. Pre/posttests measured registered nurse (RN) knowledge and perceptions of the DASA.
Findings: DASA completion rate equaled 81.8% with an NCO issue rate of only 32.8%. RN perceptions of the DASA were positive, and knowledge of structured violence risk assessment increased.
Practice Implications: Structured violence risk assessment with the DASA is feasible and well-accepted on psychiatric units.
(© 2021 Wiley Periodicals LLC.)

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Keywords: DASA; inpatient psychiatry; risk management; violence risk assessment

Date Created: 20210715 Date Completed: 20220714 Latest Revision: 20220714

20240829

10.1111/ppc.12915

34263454